Search › Washington › 363A00000X
Kerry Michaelis
NPI 1932285715 · on the registry since 2006
Practice
- Address
- 840 S Meyers St
Kettle Falls, WA 99141 - Phone
- (509) 685-7848
- Fax
- (509) 684-5817
- Organisation at this address
- Providence Health & Services Washington
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington